Active NPI
Elik Dialysis Home Therapy-Memorial Inc Dba Elik Dialysis Home Therapy
Doing business as Licensed Home Health Services with Home Hemodialysis Designation
- Home Health Agency
- Houston, TX
National Provider Identifier
1467788547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012755
- Legal business name
- ELIK DIALYSIS HOME THERAPY-MEMORIAL INC DBA ELIK DIALYSIS HOME THERAPY
- Doing business as
- Licensed Home Health Services with Home Hemodialysis Designation
- Practice address
- 1445 North Loop W Ste 720
Houston, TX 77008-1676 - Phone
- (713) 861-7500
- NPI assigned
- Oct 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Balbeer K Godwin, REGISTERED NURSE
- Title
- President/Ceo
- Phone
- (281) 799-7089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 012755 | TX | Primary |
Addresses
Primary practice location
1445 North Loop W Ste 720
Houston, TX 77008-1676
Mailing address
1445 North Loop W Ste 720
Houston, TX 77008-1676
Phone (713) 861-7500
Other names 1
- Licensed Home Health Services with Home Hemodialysis Designation
National Provider Directory
National Provider Directory- Tax ID family
- Elik Dialysis Home Therapy-Memorial Inc Dba Elik Dialysis Home Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Houston, TX
- NPI 1659558401
Locations
1445 North Loop W
Ste 720
Houston, TX 77008
Phone (713) 861-7500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256515200000",
"number": "1467788547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 NORTH LOOP W STE 720",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081676",
"telephone_number": "713-861-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 NORTH LOOP W STE 720",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081676",
"telephone_number": "713-861-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIK DIALYSIS HOME THERAPY-MEMORIAL INC DBA ELIK DIALYSIS HOME THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-26",
"last_updated": "2009-10-26",
"status": "A",
"authorized_official_last_name": "GODWIN",
"authorized_official_first_name": "BALBEER",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "281-799-7089",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "012755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Licensed Home Health Services with Home Hemodialysis Designation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.